SHANNON O'MALLEY (NPI# 1245607563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245607563 |
| Entity Type | Individual |
| Full Name | SHANNON O'MALLEY |
| Practice Address |
24895 N Wildberry Bnd Cary IL 60013-2349 |
| Practice Telephone | 8478094945 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | O540794938 | IL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699326967 | Shannon Marie O'malley | Physical Therapist | 700 Island Cottage Rd, Rochester, NY 14612-2312 | 2019-09-26 |
| 1689834640 | Shannon Eileen O'malley | Pediatrics | 148 Natures Ln, Miller Place, NY 11764-3137 | 2008-06-12 |
| Street Address |
24895 N WILDBERRY BND |
| City | CARY |
| State | IL |
| Zip Code | 60013-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134279789 | Brett Barber Dds PC | Dentist | 2615 Three Oaks Rd., Suite 2-d, Cary, IL 60013 | 2007-01-12 |
| 1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
| 1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
| 1346333804 | Mary J Jago Krueger | Counselor | 204 Spring Street #27, Cary, IL 60013 | 2006-10-02 |
| 1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
| 1104872878 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 696 Northwest Hwy, Cary, IL 60013 | 2006-05-25 |
| 1073091815 | Evan R Corsolini | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2018-08-03 |
| 1518104512 | Kristi A Van Ham | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2009-01-13 |
| 1396990693 | Cornerstone Counseling | Counselor | 2615 Three Oaks Rd., Suite 2a, Cary, IL 60013 | 2008-12-01 |
| 1063567808 | Jeffrey Alan Johnson | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
| Find all providers in zip 60013 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499698 | Sumayyah Razzaq | Student in an Organized Health Care Education/Training Program | 409 Fallen Elm Ave, Cary, NC 27513-3025 | 2020-05-25 |
| 1982226288 | Michelle Huynh | Student in an Organized Health Care Education/Training Program | 100 Otterbein Ct, Cary, NC 27513-5173 | 2020-05-11 |
| 1093336075 | Erica Katherine Shartle | Student in an Organized Health Care Education/Training Program | 100 Lakeleaf Ct, Cary, NC 27518-2239 | 2020-05-01 |
| 1750914719 | Amit G Reddy | Student in an Organized Health Care Education/Training Program | 3512 Ogle Dr, Cary, NC 27518-6411 | 2020-02-19 |
| 1568935336 | Serena Anita Shah | Student in an Organized Health Care Education/Training Program | 326 Millsfield Dr, Cary, NC 27519-8873 | 2019-01-04 |
| 1457887127 | Pooja Makam | Student in an Organized Health Care Education/Training Program | 118 Summerview Ln, Cary, NC 27518-8422 | 2017-05-02 |
| 1851745095 | Rebecca Furth | Student in an Organized Health Care Education/Training Program | 529 Hickorywood Blvd, Cary, NC 27519-9534 | 2016-04-13 |
| 1336541028 | Brianna Schafft | Student in an Organized Health Care Education/Training Program | 1055 Silver Lake Rd, Cary, IL 60013-3432 | 2014-09-24 |
| 1255613469 | Shirley Parker | Student in an Organized Health Care Education/Training Program | 210 Tealight Ln, Cary, NC 27513-5751 | 2011-09-13 |
| 1093967473 | Aviva Lilith Okun | Student in an Organized Health Care Education/Training Program | 3038 Waterford Forest Cir, Cary, NC 27513-9710 | 2008-10-16 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.